RN Case Manager - Weekends

Employment Status: Full time
Shift: Weekends Only
Facility: Carilion Medical Center, 1906 Belleview Ave SE - Roanoke, VA

About the role

The RN Case Manager provides case management for assigned patient populations. Utilizes clinical expertise, communication, and problem-solving skills to achieve optimal clinical and resource outcomes. Promotes cost-effective care by minimizing fragmentation, maximizing coordination, and facilitating patient/family movement through the health care organization. Sign-on bonus and relocation assistance available.

Responsibilities

• Provides care management for assigned patient populations, utilizing clinical expertise, communication, and problem-solving skills to achieve optimal clinical and resource outcomes.
• Performs patient needs assessments upon admission and at regular intervals to support care planning, discharge planning, and transitions across the continuum of care.
• Facilitates safe and effective transitions of care, including coordination of post-acute services such as home health, hospice, and durable medical equipment.
• Promotes interdisciplinary collaboration with physicians, nursing, social work, utilization review, and other care team members to ensure alignment of the plan of care and discharge plan.
• Ensures appropriate utilization of resources, length of stay management, and compliance with regulatory and payer requirements.
• Collaborates with Utilization Review to ensure accurate patient status and medical necessity using tools such as InterQual.
• Coordinates with patients and families to ensure understanding of discharge plans, including financial implications and available resources.
• Ensures documentation accurately reflects patient condition, comorbidities, treatment, and interventions in accordance with regulatory and organizational standards.
• Coordinates referrals and authorizations for medications, services, and post-acute care needs to prevent discharge delays.
• Facilitates communication and coordination for patient transfers, including acute-to-acute transitions and transitions involving correctional facilities.
• Identifies and addresses barriers to discharge and implements appropriate interventions.
• Participates in interdisciplinary team meetings and contributes to care progression and discharge planning discussions.
• Maintains effective communication with all disciplines to support timely and appropriate patient care transitions.
• Engages in performance improvement initiatives and utilizes predictive analytics tools to support patient outcomes and reduce readmissions.
• Collects and analyzes patient care and utilization data to support quality and fiscal outcomes.
• Advocates for patients and families throughout the episode of care.

Requirements

• Bachelor's degree required. 5 years of Case Management experience in a hospital setting may be considered in lieu of a Bachelor's degree.
• 3 years of recent experience in a clinical health care setting with responsibilities reflecting direct management of patient care including planning, coordination, and delivery of needed services such as education, psychosocial support, discharge planning, and utilization management.
• Supervisory or leadership experience is preferred.
• Current Registered Nurse License in the State of Virginia required.

Pay

Compensation Range: $76,689.60 - $115,044.80. Employee pay is based on a variety of factors, including qualifications, credentials, education, and prior work experience. The compensation range does not include benefits or pension plan.

Benefits

• Comprehensive Medical, Dental, & Vision Benefits
• Employer Funded Pension Plan, vested after five years (Voluntary 403B)
• Paid Time Off (accrued from day one)
• Onsite fitness studios and discounts to Carilion Wellness centers
• Access to health and wellness app, Personify Health
• Discounts on childcare
• Continued education and training